Individual
CARLEON CHRISTOS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
851 S MOUNT VERNON AVE STE 7A, COLTON, CA 92324-3926
(760) 241-6044
(909) 639-7079
Mailing address
851 S MOUNT VERNON AVE STE 7A, COLTON, CA 92324-3926
(760) 241-6044
(909) 639-7079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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